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SmithRx

Pharmacy Technician – Seasonal

SmithRx

. Assist members, providers, pharmacies, and internal SmithRx teams with prescription complexities and timely coverage of clinically appropriate, cost-effective medication therapy .

Posted 10/8/2026contractRemote • United StatesJuniorMid-Level💰 $22 per hourWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in prior authorization processes, including eligibility verification and claims processing, while effectively communicating with stakeholders. Proficient in utilizing technology tools to manage medication therapy and ensure compliance with clinical policies.

Highest-signal resume keywords
Active Pharmacy Technician LicensePrior Authorization Review ExperienceClaims ProcessingProficiency in MS OfficeCritical Thinking

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Prior Authorization ReviewClaims AdjudicationMedication Therapy ManagementEligibility VerificationBasic Calculations
Soft Skills
Active ListeningEmpathyTime ManagementClear CommunicationMultitasking
Tools & Technologies
MacMS OfficeG-Suite
Certifications & Qualifications
Pharmacy Technician License
Industry Keywords
PBMHealth PlanClinical Review ProcessesMedication PoliciesStakeholder Outreach

About the role

Key responsibilities & impact
  • Assist members, providers, pharmacies, and internal SmithRx teams with prescription complexities and timely coverage of clinically appropriate, cost-effective medication therapy
  • Verify eligibility and drug coverage under plan benefit designs for appropriate claims processing
  • Triage clinical review processes for prior authorization requests according to established protocols
  • Review prior authorization requests using criteria, claims history, and plan benefit rules
  • Conduct prescriber and pharmacy outreach to verify and gather required information
  • Organize and prioritize requests for timely prior authorization case management
  • Build and adjust authorizations within the claim adjudication system
  • Navigate drug products and formulations and perform basic calculations to monitor accurate claims adjudication
  • Coordinate outreach across teams and address questions and escalations
  • Evaluate clinical situations against medication policies and approve or triage cases to a Pharmacist for denial
  • Determine when medications require internal or external review
  • Contact selected external stakeholders for approval on drugs with dollar limits

Requirements

What you’ll need
  • High School diploma or GED or equivalent work experience
  • Active Pharmacy Technician license required
  • 2-4 years of experience as a Pharmacy Technician
  • Experience in prior authorization review, specifically working on the approval side at a PBM or health plan, preferred
  • Proficiency in Mac, MS Office, and G-Suite required
  • Critical thinking to navigate complex customized benefit plans and make sound clinical decisions
  • Active listening and conversational speaking skills, with a high degree of empathy
  • Ability to multitask, prioritize, and manage time effectively
  • Ability to communicate clearly and present complex information to members, clients, pharmacies, providers, and internal teams
  • Ability to work accurately within protocols and follow appropriate escalation pathways

Benefits

Comp & perks
  • Time off programs
  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Mental health support
  • Paid parental leave
  • Life insurance
  • Disability insurance
  • 401(k)
  • Potential eligibility for bonuses, commissions, or equity
  • Remote contract employment